FN6-28701-44339
3 vaccinations
1 coded response
33 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 605 / IL
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
23J-19265-79768
Child or adolescent in my care · Female · 2021-12-11
NDC-22786-56577
Child or adolescent in my care · Female · 2021-12-11
Timeline
-
2021-01-24
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
- 2021-02-03
- 2021-02-07
- 2021-02-14
-
2021-02-21
Dose 2 — Moderna
- 2021-02-21
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-05-23
- 2021-08-23
-
2021-12-11
Dose 3 — Moderna
- 2021-12-11
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, VomitingAdult check-in
- 2021-12-13
- 2021-12-15
- 2021-12-16
- 2021-12-17
- 2021-12-18
- 2021-12-26
- 2022-01-01
- 2022-01-08
- 2022-01-16
- 2022-01-22
- 2022-03-14
-
2022-06-11
Survey response — 6 months, dose 3MedDRA: COVID-19, Cough, Fatigue, Headache, Pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Headache, body aches, fatigue and cough (for 5 days, starting on May 27, 2022, the day of COVID diagnosis)MedDRA releases: 2024-11 · check-in free text available
- 2022-12-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-21 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
Free text
Release 12 — 6 months, dose 3
Symptoms: Headache, body aches, fatigue and cough (for 5 days, starting on May 27, 2022, the day of COVID diagnosis)
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release